Laserfiche WebLink
1 . SRWAGE <br /> Distance to Public Sewers � Connection necessary: Yes_ Nom <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain : <br /> Describe septic installation to be instal led: �����F ��'� �� ��«` <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes ><' No Is well proper: <br /> Yes_ No. State 4c ency : 0%c <br /> /.FS'f9cft60o-K �e/fay T /E ..sr1 l NJ'F�" o/�' c�j/o EG F,!�jG <br /> w/ c d/?,LrE ,,�!�,,��.l.,r Tiles/6./ �e� �,C T-�r.a�i-i�O'd/sc�7•�la� 6 o-✓E ii/fa <br /> Does existing or porposed use make this well public water: Yes— <br /> No--I'- Sample <br /> esNoSample of well water taken: Yes_ Nom Date taken <br /> Result Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes— Nom Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FLY . MOSQUITO OR VMOTOR POTENTIA <br /> State possible vector potential & necessary control: <br /> 5 . TOILET/BATH FACIL TTF.S <br /> No . & location existing: o�✓F ��+����� `�f Additional <br /> facilities needed <br /> 6 . PERVIOUS/OPERATTON HISTORY <br /> 7 . GENERA . SANITATION <br /> State any problems not previously noted: a� <br /> 3 . POPULATION PFNSITY <br /> APpx . No . People per sq. mi . .�16Pi�c�G�ulF ��rieF✓i� � <br />